Background: 'Gold standard' sepsis care encompasses the recognition and treatment of sepsis within one hour of emergency department (ED) presentation. Early treatment of patients with sepsis reduces mortality. The aim of this study was to examine the effect that the nurse allocated Australasian Triage Scale (ATS) Category allocation had on ED patient treatment for severe sepsis and septic shock.
Methods: A two-year retrospective observational cohort study from a single major metropolitan ED, including all patients with severe sepsis or septic shock.
Results: Sixty patients were included in this study. Sepsis was recognised at triage for the majority of patients (n=38, 63%), and most were allocated an ATS Category Two (n=39). Almost half of the patients received all elements of the sepsis bundle within one hour of arrival (n=27,45%). Patients allocated an ATS Category One or Two had a shorter time to lactate collection (p=0.003), blood culture procurement (p=0.009) and intravenous antibiotic administration (p=0.021) compared with patients who were allocated ATS Category Three or Four.
Conclusions: Most patients presenting with sepsis were recognised by the triage nurse and allocated a high acuity ATS category accordingly. As sepsis is a time-critical condition and a high acuity triage allocation reduces time to treatment, we recommend all Australian EDs should implement a standard approach to sepsis triage by allocating an ATS Category of One or Two to all patients suspected of having sepsis, thus reflecting the urgency of their disease.
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http://dx.doi.org/10.1016/j.auec.2020.09.002 | DOI Listing |
Disabil Rehabil Assist Technol
January 2025
Zimbabwe Open University Bulawayo, Bulawayo, Zimbabwe.
Availability of assistive technologies (ATs) to children with disabilities is a critical human right enshrined in United Nations (UN) treaties and frameworks such as the United Nations Conventions on the Rights of Persons with Disabilities (UNCRPD), the United Nations Conventions on Rights of the Child (UNCRC), and United Nations 2030 Agenda for Sustainable Development. ATs optimize functionality, independence, and enhance educational experiences of children with disabilities. The study explored availability of ATs to children with disabilities in Bulawayo Central District (BCD) in Zimbabwe.
View Article and Find Full Text PDFEpidemiol Prev
November 2024
SC Unità di Epidemiologia, Agenzia di Tutela della Salute Città Metropolitana di Milano, Milano;
Background: reducing air emissions is the fundamental action necessary to mitigate the negative health effects caused by air pollution. However, increased public awareness has highlighted the need to identify protective measures that can mitigate the personal health risks associated with air pollution.
Objectives: examine the evidence regarding personal protection strategies capable of mitigating the health effects caused by air pollution, with a focus on healthy individuals and at-risk categories.
Australas Emerg Care
October 2024
Department of Gastroenterology & Hepatology, Royal Brisbane & Women's Hospital, Brisbane, Australia.
Unlabelled: Evaluation of the Australian Triage Scale in patients who present to the emergency department with upper gastrointestinal bleeding BACKGROUND: Upper gastrointestinal bleeding (UGIB) is a common presentation to the emergency department (ED). Study aims were to evaluate the utility of the Australasian Triage Score (ATS) in patients presenting to the ED with UGIB.
Methods: This retrospective observational study included 356 patients over a 2-year period who presented to a metropolitan hospital ED.
BMC Health Serv Res
October 2024
Department of Critical Care, University of Melbourne, 157-159 Barry Street Parkville, Melbourne, VIC, 3010, Australia.
Introduction: Emergency department clinicians, and particularly nurses in triage, frequently perform routine blood tests on patients whose allocated triage category is not time critical (triage categories 3, 4 and 5 of the Australasian Triage Scale). Some observers have questioned the utility of routine blood testing in these acute healthcare settings given the cost and workload implications.
Methods: A quantitative method using retrospective observational design was utilised guided by STROBE checklist.
Aust J Rural Health
December 2024
Department of Emergency Medicine, Cairns Hospital, Cairns, Queensland, Australia.
Objectives: There is very little literature examining the workload and impact of nurse practitioners (NPs) working in emergency departments (ED) in regional and rural Australia. The aim of this paper was to review the ED NPs scope of practice in the ED discharge stream and patient outcomes at Cairns Hospital over a 7-month period.
Methods: This retrospective study examined the ED electronic medical record between 14 May 2019 and 31 December 2019.
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